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. 2023 Nov 2;27(1):23–52. doi: 10.1007/s10567-023-00457-0

Table 2.

Sample, program characteristics, & study design (N = 22)

Study, Country Study design Int. N, % Female, % Attrition Parent age (M) Child age (M or range) Sample criteria. Recruitment Program name Delivery method Program goals Length & duration (L&D) Guidance provided Socioemotional outcomes Program content
Baggett et al. (2010), USA RCT pre/post 20, 100, 5 24.5 3-8 mo Mother; low SES. Flyers posted in public & community service settings Infant-Net Website Enhance parenting capacity L&D: 10 × 90 min sessions Weekly phone coaching PPD, Mother-infant interaction Reading infant signals; warm & sensitive behaviors, maintaining infants’ attention; use of rich verbal content with physical demonstrations; application in everyday life
Breitenstein (2021), USA

RCT

pre/post/

follow-up

144, 80, 11 32.8 2.2 yr Parent of child 2–5 yr. Primary care settings ez PARENT App

Manage child behavior

L&D: modules completed every 1–2 wks over 12 wks

Fully self-guided Parent behavior, Parenting self-efficacy, Stress, Child problems & prosocial behavior 1–2) child relationship-building skills; 3–5) behavior management skills; 6) stress management & problem-solving skills
Ciochoń (2022), Poland

Quasi-exp

pre/post

427, 100, - 30.26 Mothers; non-smokers, 2nd or 3rd pregnancy trimester, during Covid. Social media, radio, & motherhood magazines Online

Reduce perinatal maternal anxiety & depression

L&D: -

NR Anxiety, Depression Online content includes but not limited to antenatal education (e.g., labour, breastfeeding, prenatal care) and relaxation

Dol et al. (2022),

Canada

RCT

pre/post

78, 100, 30 31.4 4.4 days

Mothers; > 18 yrs; 37 wks pregnant – 10 days PP; mobile access; English literate; child birthed in Nova Scotia

Social media, posters

Essential Coach for Every Mother SMS

Improve mothers’ access to information about caring for themselves and their newborns during the immediate six-wk postnatal period

L&D: 6 wks (2 texts daily)

Full self-guided Self-efficacy, social support, PP anxiety, PP depression 53 standardized evidence-based text messages. Topics related to newborn care and postpartum maternal mental health
Ehrensaft et al. (2016), USA

RCT

pre/post

26, 100, 31 23.76 2–6 yr Mother; college student, reside with child ≥ 50% of time; child birthed ≤ 25 yrs old, child 2-6 yrs. Attend inner-city college; child attend college childcare Triple P Online Website

Improving parenting practices

L&D: 20 min- > 2 h modules over 8-12 wks

Fully self-guided Stress, Dysfunctional discipline 1) what is positive parenting; 2) encouraging behavior you like; 3) teaching new skills; 4) managing misbehavior; 5) dealing with disobedience; 6) preventing problems by planning; 7) making shopping fun; 8) raising confident, capable kids
Huang et al. (2021), China

RCT

pre/post/

follow-up^

20, 100, 10 27.15 - Women; ≥ 18 yr; first-time mothers; English literate; internet access. Maternity & obstetric wards - Website

Increase self-efficacy, provide social support, reduce PPD symptoms

L&D: 2 h wkly sessions over 12 wks

Online support forum; routine PP care Maternal self-efficacy, Depression, Social support ISP program contents include infant common diseases, daily infant care, growth & development, feeding, postnatal care for women. Online support forums
Jareethum et al. (2008), Thailand

RCT

pre/post/

follow-up

32, 100, 6 28.72 Woman ≥ 18 yr; no medical diseases; single preg; ≤ 28 wks gest. Antenatal care hospital - SMS

Prevent/warn of complications & reduce concerns during preg

L&D: 12 wks

Fully self-guided Pregnancy satisfaction, Confidence level, Anxiety level Content included information & warnings relating to abnormal preg effects that would require doctor consultation. 2 × texts per wk
Jiao et al. (2019), Singapore

RCT

pre/post/

follow-up

68, 100, 4 31.1 0-12mo First-time mother; ≥ 21 yr; English proficient; low-risk single preg; ≥ 28 wks gest; intent to reside in Singapore 3 mos. post-delivery. Hospital wards - Website

Enhance self-efficacy, social support, psychological well-being, maternal satisfaction

L&D: 4 wks

CAU, expert discussion Forum; calls to promote site use Parental self-efficacy, Infant care social support, Postnatal depression, Anxiety Postnatal experiences; maternal self-care (including physical, emotional, &sexual health); newborn care, & social support
Lennard et al. (2021), AU & NZ

RCT

pre/post

231, 100, 59 32.77 0-2 yr Mother; ≥ 18 yr; birthed within last 2 yr; reside AU/NZ. Websites, social media, parenting forums - Website Improve infant mothers’ self‐compassion & mental health. L&D: 8 wks Fully self-guided with weekly SMS reminders Compassion, Psychological flexibility, Depression, Anxiety, Stress, PTSD symptoms 1) psychoeducation & ideas to promote self‐compassion in motherhood transition; 2) guided self‐compassion visualization exercise. ‐
Lindsay and Totsika (2017), UK

Quasi-exp

pre/post

675, 92, 44 0-6 yr

Parents; reside within three local authorities

Child centers, community organizations, pharmacies

CAN

parent

Website, in-person mixed

Reduce parent stress; increase parent efficacy, satisfaction, mental health

L&D: 1-10 wks

Fully self-guided Parenting efficacy, Parenting interest, Parenting satisfaction, Parenting stress, Parent mental well-being Includes managing routines & boundaries, supporting each other’s parenting, positive behavior, play & exploration, secure relationships, who’s in charge. 1–10 sessions
Matvienko-Sikar and Dockray (2017), Ireland

RCT

pre/post/

follow-up^

32, 100, 26 33.87 10-22 wk. gest Female; ≥ 18 yr; pregnant; no medical concerns. Online, forums, posters Website Improving prenatal well-being through gratitude & mindfulness. L&D: 4 × wkly use over 3 wks Fully self-guided Prenatal stress, Depression, Satisfaction with life, Gratitude, Mindfulness 1) BodyScan & Reflection, 2) Reflection & BodyScan. Program components: 1) gratitude diary; 2) mindfulness listening. In gratitude diary, participants listed up to 5 things they felt grateful for in prior 24 h
Mogil et al. (2022), USA

RCT

pre/post/follow-up

171, 56, 13 53.8 mo

Families; child 3–6 yrs ≥ one Army-serving parent

Social media advertising, military/ veteran events, WoM

- Online

Promote resilience & psychological well-being

L&D: -

Fully self-guided Parent psychological well‑being, Parent–child relationship, Child affect & behaviour 1) Positive Parenting.2) Supporting Child Development. 3) Maintaining Self-Care.4) Navigating Family Transition
Na and Chia (2008), Singapore

RCT

Pre/post

411, 68, 65 0-6 yr

Parents; child 0-6 yr; basic internet knowledge; English proficient; device access

Newspapers, magazines

KidzGrow Online Website

Positive parenting skills to support child learning

L&D: 12 wks

Fully self-guided Amount & quality of parent–child time, Parenting knowledge, Parents’ attitude, confidence, Support Online content includes, but is not limited to, cognition, speech & language, social skills development
Park and Bang (2022), South Korea

Quasi-exp

pre/post

15, 0, 7 35.5 2-6 mo

Fathers; children 8–24 wks

The Seoul Baby

Health First Step Project

Online lectures Improving father-infant interactions, child-rearing knowledge, & attachment relationships. L&D: 5 wks Home-visits educated by researcher Father-infant attachment, Father-infant interaction

Developing the caregiver’s sensitivity,

building infant developmental knowledge, and recognizing the teaching loop during father-infant interactions

Salonen et al. (2014), Finland

Quasi-exp

pre/post/

follow-up

433, 100, 42 30.9 Prenatal-12 mo Primi/multiparous; Finnish-speaking; single birth; no early discharge; mothers receiving home visits. Maternity hospital Website

Designed to strengthen parenting satisfaction & parental self-efficacy

L&D: -

Online peer forum; expert Q&A support Parenting satisfaction & Infant centrality, Depressive symptoms Tasks related to parent–child interaction in everyday situations over 6 themes: 1) for mothers; 2) for fathers; 3) your baby; 4) life as a couple & family; 5) what to do when you’re in trouble & 6) support for the family
Sari and Altay (2020), Turkey

RCT

pre/post/

follow-up

35, 100, 16 30.82 33-37wk. gest Mother ≥ 18; 33–37 wks gest, primary school completion, Turkish speaker; birth weight 2.5-4 kg. Primary care clinics Website

Teach infant growth, development & self-efficacy

L&D: 3-5 wks

Expert consults within website Parental self-efficacy 1) my baby's nutrition; 2) my baby's bath & care, 3) my baby's sleep & safety; 4) communication with baby
Sawyer et al. (2017), AU

RCT

pre/post/

follow-up

381, 100, 8 32.7 1-7 mo New mother; English proficient; expert supported participation. Community clinic health check Mums’ eTalk Website To provide postnatal support to mothers without the need for postnatal home-based help. L&D: 24 wks Clinic CAU & peer online forum nurse moderated Self-competence, Social support, Child socioemotional development, Attachment, Well-being, Spousal support 11 online topics including sleeping & settling, nappies, breastfeeding, infant development, Baby’s milestones, key dates
Shorey et al. (2017), Singapore

RCT

pre/post

126, 50, 17 32.08 35-41 wk. gest

Parents; ≥ 21 yr, English literate, device access

Maternity hospital discharge

Home-but not Alone App Support parent transition; increase self-efficacy, social support, satisfaction; reduce depression. L&D: 4 wks Peer discussion; midwife consults; CAU Parenting self-efficacy, Parenting social support, Postnatal depression, Parenting satisfaction Online content included newborn & maternal care; postnatal depression, newborn care tasks, needs of multiparas, parents & how can fathers provide support. Notifications provided information regarding common questions
Shorey et al. (2019), Singapore

RCT

pre/post/

follow-up

118, 50, 25 31.3 Prenatal-3 mo Heterosexual married couples; ≥ 21 yr; English literate; low-risk single preg, ≥ 2 wks gest; phone with internet; reside in Singapore. No illness. Hospital - Phone-based sessions, app

Enhance parent self-efficacy, bonding, perceived social support, parent satisfaction; reduce depression & anxiety

L&D: 4 wks

Midwife phone sessions; midwife forum Parenting self-efficacy, Parental bonding, Postnatal depression, Postnatal anxiety, Parenting satisfaction, social support 1) phone antenatal education session (30 min); 2) Phone postnatal education session (60 min); 3) app topics: newborn & maternal self-care. Daily app notifications
Song et al. (2022), South Korea

Quasi-exp

Pre/post/follow-up

20, 100, - 28.40 3–4 days Chinese immigrant; > 19 yrs; first-time mothers; Korean literate. Obstetrics/ gynaecology clinics Mobile-based via Prezi Enhance maternal adjustment. L&D: 4 wks Weekly support via social media Parenting efficacy, Childcare stress, social support Breastfeeding strategies. Newborn care
Zhang et al. (2023), China

RCT

Pre/post/follow-up

80, 100, 16 30.36 38.27 wks gest 12–20 wks pregnant; ≥ 18 yrs; psychological distress; Chinese literate; no prior psychological int. WeChat access. Hospitals GSH-MBI SMS, WeChat app Reduce psychological distress & improve infant neuropsychological performance. L&D: 6 wks Daily text reminders Maternal depression, Maternal anxiety, Infant temperament 6 modules including content on mindful breathing and body scan, mindfulness practices in everyday life
Zuckerman et al. (2022), USA

Quasi-exp

Pre/post

29, 100, 3 Low-income mothers; =  < 1 prior children; full-term healthy birth, > 18 yrs; no substance abuse; English literate; iPhone owner. Nursery Small Moments, Big Impact App Promote relational health, resilience, well-being. L&D: 6 mo Support with content from researchers; Weekly text reminders Parenting stress. Reflective functioning Topics cover infant care, and mother’s self-care

In some cases, external references were used to identify specific program content. Attrition was based on comparison between pre-treatment and final follow-up periods only. †=based on prior program; ^ = pilot study; * = unpublished reference;

AU Australia; CAU care as usual; CBT cognitive behavioral therapy; CMT compassionate mind training; con control; f/u follow-up; f2f face-to-face; FAB fathers and babies; gest gestation; grp group; hr hour; int intervention; M mean; mo month; NICU neonatal intensive care unit; NZ New Zealand; PCIT parent–child interaction therapy; PP postpartum; PPD postpartum depression; pre-exp pre-experimental design; preg pregnancy; pub published journal article; quan quantitative study design; quasi-exp quasi-experimental design; QnA question & answer; RCT randomized control trial; SG self-guided; SMS short message service; SES socioeconomic status; USA United States of America; VLBW very low birth weight; wk week; WoM word of mother; yr year